T-Cells and CAR T-Cells Therapy

T-Cells and CAR T-Cells Therapy
  • Context:

  • A team from the Indian Institute of Technology (IIT) Bombay has demonstrated a new "gentler recovery method" for retrieving lab-grown T-cells.

  • This innovation uses scaffolds to grow the cells, which improves their viability and effectiveness compared to traditional flat-dish methods, potentially aiding the affordability and reliability of cancer care in India.

  • About T-Cells:

  • T-cells are a type of white blood cell (lymphocyte) that act as the body's "frontline soldiers."

  • They patrol the bloodstream to detect infections or abnormal cells (like cancer).

  • Upon detection, they either kill the harmful cells directly or signal other immune cells to join the fight.

  • About CAR T-Cell Therapy:

  • What is it?

  • Chimeric Antigen Receptor (CAR) T-cell therapy is a form of immunotherapy where a patient's T-cells are collected and genetically engineered in a lab to recognize and destroy specific cancer cells.

  • The Process:

  • Apheresis:

  • White blood cells are removed from the patient's body via a catheter.

  • Transduction:

  • In a lab, a specific gene and an inactive virus are used to modify the T-cells to produce "chimeric antigen receptors" (CARs) on their surface.

  • Expansion:

  • The modified cells are grown (expanded) in large numbers.

  • Infusion:

  • The "supercharged" cells are infused back into the patient to hunt down cancer

  • Side Effects:

  • A common side effect is Cytokine Release Syndrome (CRS), where the immune system reacts strongly, causing high fever and shortness of breath.

  • Key Developments in India:

  • IIT Bombay Study:

  • Researchers found that T-cells grown on scaffolds were more effective at killing cancer cells than those grown on flat surfaces.

  • This method allows for retrieving cells without damaging them

  • India is advancing its own CAR T-cell journey through collaborations between IIT Bombay and Tata Memorial Centre.

  • Spin-off companies like ImmunoACT are working to reduce the cost of this therapy from several crores (global price) to a fraction of that amount, making it accessible to more patients.